| NPI | 1134475791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 40251) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 12525) |
| 183500000X Pharmacist (Licence: IN 26024931A) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2016-11-10 |